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NPI Code Detail

MEDICARE: ETHAN GECHTER DPT

MEDICARE: ETHAN GECHTER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1105382KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1KA4292019OTHERKSMEDICARE
2MA6830015OTHERMOMEDICARE
3MA7565014OTHERMOMEDICARE

General Provider Information

NPI Number : 1801246145
Entity Type Code : Individual
Provider Name (Legal Business Name) : ETHAN GECHTER DPT
Provider Business Mailing Address
First Line : 600 OAKMONT LN
Second Line : STE 600C
City : WESTMONT
State : IL
Zip : 60559-5548
Country : US
Telephone Number : 630-575-1980
Fax Number : 630-928-5080
Provider Business Practice Location Address
First Line : 141 S PARKER ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-4043
Country : US
Telephone Number : 913-538-5453
Fax Number : 913-361-1051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2016
Last Update Date : 11/10/2020

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Directions to “ ETHAN GECHTER DPT” Practice Location

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